Skip to main content
SpringerLink
Log in

Video review program enhances resident training in laparoscopic inguinal hernia: a randomized blinded controlled trial

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background

The purpose was to determine if a standardized video review program for residents improves operative performance.

Methods

Participation was offered to surgical residents rotating on a minimally invasive service. Residents were randomized to either the video review group or no video review group. Every participant in the video review group underwent video reviews with an attending surgeon for 30 min once weekly during their 1-month rotation. A blinded surgeon evaluated performance in the operating room using validated assessment tools. The amount of time the resident spent as primary surgeon was recorded. One-way analysis of variance was used to compare the video and no video review groups. Differences were considered statistically significant for p values < 0.05.

Results

Sixteen residents were randomized to the video review group (n = 8) or the no video review group (n = 8). Residents in the video review cohort significantly improved in creating a working space (p = 0.04), hernia sac reduction (p = 0.01), mesh placement (p = 0.01), knowledge of the procedure (p = 0.01), and overall competence (p = 0.02). Residents in the no video review group did not significantly improve in five of seven categories. The video review group significantly increased the time spent as primary surgeon (p = 0.02).

Conclusion

Video review with a coach proved to be beneficial for residents when learning laparoscopic inguinal hernia repairs. We conclude that systematic video review is a good supplemental tool in resident surgical training.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Goldman LI, Maier WP, Rosemond GP, Saltzman SW, Cramer LM (1969) Teaching surgical technique by the critical review of videotaped performance-the surgical instant replay. Surgery 66:237–241

    PubMed  CAS  Google Scholar 

  2. Stranc MF, McDiarmid JG, Stranc LC (1991) Video assessment of surgical technique. Br J Plast Surg 44:65–68

    Article  PubMed  CAS  Google Scholar 

  3. Scott DJ, Rege RV, Bergen PC, Guo WA, Laycock R, Tesfay ST, Valentine RJ, Jones DB (2000) Measuring operative performance after laparoscopic skills training: edited videotape versus direct observation. J Laparoendosc Adv Surg Tech 10:183–190

    Article  CAS  Google Scholar 

  4. Chang L, Hogle NJ, Moore BB, Graham MJ, Sinanan MN, Bailey R, Fowler DL (2007) Reliable assessment of laparoscopic performance in the operating room using videotape analysis. Surg Innov 14:122–126

    Article  PubMed  Google Scholar 

  5. Nakada SY, Hedican SP, Bishoff JT, Shichman SJ, Wolf JS (2004) Expert videotape analysis and critiquing benefit laparoscopic skills training of urologists. J Soc Laparoendosc Surg 8:183–186

    Google Scholar 

  6. Scherer LA, Chang MC, Meredith JW, Battistella FD (2003) Videotape review leads to rapid and sustained learning. Am J Surg 185:516–520

    Article  PubMed  Google Scholar 

  7. Kurashima Y, Feldman LS, Al-Sabah S, Kaneva PA, Fried GM, Vassiliou MC (2011) A tool for training and evaluation of laparoscopic inguinal hernia repair: the Glocal Operative Assessment of Laparoscopic Skills-Groin Hernia (GOALS-GH). Am J Surg 201:54–61

    Article  PubMed  Google Scholar 

  8. Dath D, Regehr G, Birch D, Schlachta C, Poulin E, Mamazza J, Reznick R, MacRae HM (2004) Toward reliable operative assessment: the reliability and feasibility of videotaped assessment of laparoscopic technical skills. Surg Endosc 18:1800–1804

    Article  PubMed  CAS  Google Scholar 

  9. Boyle E, Kennedy AM, Traynor O, Hill AD (2011) Training surgical skills using nonsurgical tasks—can Nintendo Wii™ improve surgical performance? J Surg Educ 68:148–154

    Article  PubMed  Google Scholar 

  10. Choi YY, Kim Z, Hur KY (2012) Learning curve for laparoscopic totally extraperitoneal repair of inguinal hernia. Can J Surg 55:33–36

    Article  PubMed  PubMed Central  Google Scholar 

  11. Papandria D, Rhee D, Ortega G, Zhang Y, Gorgy A, Makary MA, Abdullah F (2012) Assessing trainee impact on operative time for common general surgical procedures in ACS-NSQIP. J Surg Educ 69:149–155

    Article  PubMed  Google Scholar 

  12. Hernández-Irizarry R, Zendejas B, Ali SM, Lohse CM, Farley DR (2012) Impact of resident participation on laparoscopic inguinal hernia repairs: are residents slowing us down? J Surg Educ 69:746–752

    Article  PubMed  Google Scholar 

  13. Ward M, MacRae H, Schlachta C, Mamazza J, Poulin E, Reznick R, Regehr G (2003) Resident self-assessment of operative performance. Am J Surg 185:521–524

    Article  PubMed  Google Scholar 

  14. Beard JD, Jolly BC, Newble DI, Thomas WE, Donnelly J, Southgate LJ (2005) Assessing the technical skills of surgical trainees. Br J Surg 92:778–782

    Article  PubMed  CAS  Google Scholar 

  15. Hu YY, Peyre SE, Arriaga AF, Osteen RT, Corso KA, Weiser TG, Swanson RS, Ashley SW, Raut CP, Zinner MJ, Gawande AA, Greenberg CC (2012) Postgame analysis: using video-based coaching for continuous professional development. J Am Coll Surg 214:115–124

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Section of Minimally Invasive Surgery, NorthShore University HealthSystem, 2650 Ridge Ave, Evanston, IL, 60201, USA

    Ryota Tanaka, Francis DeAsis, Yalini Vigneswaran, John Linn, JoAnn Carbray, Woody Denham, Stephen Haggerty & Michael Ujiki

  2. Department of Surgery, Kyorin University School of Medicine, Tokyo, Japan

    Ryota Tanaka

Authors
  1. Ryota Tanaka
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Francis DeAsis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yalini Vigneswaran
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. John Linn
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. JoAnn Carbray
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Woody Denham
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Stephen Haggerty
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Michael Ujiki
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael Ujiki.

Ethics declarations

Disclosure

Ryota Tanaka, Francis DeAsis, Yalini Vigneswaran, John Linn, JoAnn Carbray, Woody Denham, Stephen Haggerty, Michael Ujiki have no conflicts of interest or financial ties to disclose.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tanaka, R., DeAsis, F., Vigneswaran, Y. et al. Video review program enhances resident training in laparoscopic inguinal hernia: a randomized blinded controlled trial. Surg Endosc 32, 2847–2851 (2018). https://doi.org/10.1007/s00464-017-5992-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-017-5992-0

Keywords

Search

Navigation